Organization Active NPI

Leonard E Schiffman DMD PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodmere, NY
National Provider Identifier
1063600351
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
030332 Issued in NY
Legal business name
LEONARD E SCHIFFMAN DMD PC
Practice address
141 Franklin PL
Woodmere, NY 11598-1244
Phone
(516) 569-1111
Fax
(516) 569-9016
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leonard E Schiffman, DMDNPI 1538242417
Title
Owner
Phone
(516) 569-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 030332 NY Primary

Addresses

Primary practice location

141 Franklin PL
Woodmere, NY 11598-1244

Mailing address

141 Franklin PL
Woodmere, NY 11598-1244
Phone (516) 569-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050415000463 NY Part B Supplier - Clinic/Group Practice 6507803087 Receives reassigned benefits from 2 practitioners
Practice locations: Woodmere, NY

National Provider Directory

National Provider Directory

Locations

141 Franklin Pl
Woodmere, NY 11598
Phone (516) 569-1111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1063600351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981244",
            "telephone_number": "516-569-1111",
            "fax_number": "516-569-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981244",
            "telephone_number": "516-569-1111",
            "fax_number": "516-569-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD E SCHIFFMAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "SCHIFFMAN",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-569-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "030332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.